Healthcare Quality Data Analyst, HEDIS & Provider Performance

About the role

Position Purpose: Perform ongoing measurement, analysis, and monitoring of business process and member outcomes data sets.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

• Perform ongoing quantitative and statistical analysis of performance data to include HEDIS measures, service utilization and member/provider complaint trends
• Develop HEDIS measures, service utilization and all quality report extraction specifications
• Develop and update quarterly, annual and ad hoc reports including analysis and narrative for NCQA accreditation and Health Plan deliverables
• Perform other performance and process improvement activities as needed
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field. 2+ of performance and statistical analysis or quality improvement experience. Experience in public sector managed care/managed behavioral health care preferred. Experience with standard statistics software preferred.

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act